HomeMy WebLinkAbout03000990434000_Variances_09-18-1978White — Office
Yellow — Owner
PinK — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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’ Last Name
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Owner:Phone No.First Middle
cit<rStreet & No.State Zip No.
A'Legal Description: >Lako Nor Lake Name Lake Class
Sec. / ^Twp. Name
If applicant is a corporation, what state incorporated in___
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:
/j /
A a.
In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
.19.Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
I9A/rDate application filed with Shoreland Management Administratioa
Both ( )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement O.By Signature
Date, time and place of hearing
DEVIATION APPROVED this_____
(OR ATTACHED) REOU!REMENTS:
day of_19____WITH THE FOLLOWING
Signature
Chairman
Otter Tall Planning Advisory Commission
Deviation
Approved this day of.19,. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICrSH LUNSeCH 0«.. PIUNTfl ^«LLI, Mil
TO BE COMPLETED BY PSRSCI^^ INSPECTING SYSTEM
I hereby attest that I am familiar with the
minimum standards required by the OTTER TAIL
COUNTY SHORELAND MANAGEMENT ORDINANCE regarding
sewage systems9 and that I have inspected this
system and find it in accordance with those
standards.
Legal Description:
Otter Tail County
License No.
Shall be licensed and bonded in
Otter Tail County, Minnesota
H6
Ov-mer's Name
Signature of Installer Tj
Date uf Inspection
- //cP
Date
Please return when completed to Land & Resource Management Office
ergus Falls, Minnesota 56537
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Department of
LAND AND RESOURCE MANAGEMENT
OTTER TAIL COUNTY
Government Services Center - 540 West Fir
Fergus Falls, MN 56537
PH: 218-998-8095
Otter Tail County’s Website; www.co.otter-tail.mn.us
10/18/2011
MICHAEL & JANEEN VANVALKENBURG
24605 RIVERS BEND RD E
FERGUS FALLS MN 56537 8102
RE: Sewage Treatment System Servicing Tax Parcel Number: 03000990434000
Section: . 19 AURDAL TWP
RIVER VIEW LANE
LOT 7
Lake: 56-ODR Otter Tail River
Described as:
As of 10/11/2011 the sewage treatment system (Sewage Treatment Installation
Permit # 21572) servicing your property was determined to be in compliance with the
provisions of the Sanitation Code of Otter Tail County for a 4 bedroom home.
If you have any questions regarding this matter, please contact our office.
Sincerely,
Eric Babolian
Inspector